Permit CITY OF TIGARD MECHANICAL PERMIT
III 12; COMMUNITY DEVELOPMENT Permit #: MEC2009 -00141
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 639 4171 Date Issued: 04/01/2009
Parcel: 2S 1030002600
Jurisdiction: Tigard
Site address: 10900 SW GARDEN PARK PL B
Subdivision: Lot: 0
Project: DeMarc
Project Description: Install heat pump.
Owner: FEES
DEMAREE, THOMAS E & JUDITH A Description Date Amount
REVOCABLE LIVING TRUST, BY DEMAREE, Air Conditioning or Heat Pump 04/01/2009 $14.00
THOAMS E & JUDITH TR, PO BOX 23944 12% State Surcharge - Mechanical 04/01/2009 $8.70
PHONE. Minimum Fee Adjustment - Mechanical 04/01/2009 $58.50
Contractor:
SPECIALTY HEATING & COOLING INC
7500 SW TECH CENTER DR STE 120
TIGARD, OR 97223
PHONE 503 - 620 -5643
FAX 503 - 681 -0793
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types
Gas Pressue
Total $81.20
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 -001 -0100 You may obtain a copy of the rules
•
Issued By: C ICAO Permittee Signature: may' t
ti � (cY1
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
--' Mni 08:55 AM
DIED FAX No, P. 002
,„,__
Mechanical Permit Applicatt'),1 C._ FOR OFFR.P. ILISE..ONLY • , - -, , , • , • ,,,,,..,, ,
•:. City of Tigard MAR 312."9 Received ,
Date/By ,5. t • • Permit No.: hil
l .4 13125 SW Hall Blvd., Tigard, OR 97223 Plan P.view _ •
Phone 503.639.4171 Fax. 503.598.1960
c m/ OF TIGARD Onte/13y, Other Permit
TIGARD
Inspection Line: 503.639.4175
lin S I
Internet www.tigard-orgov B utoltAG DIVISIO° N
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Mec11atliCipern lit fees* are based on the value of the work
0 New construction [I] Addition/alteration/replacement performed, Indicate the value (rounded to the nearest dollar) of all
0 Demolition 111 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
!. ..1 l',■; oONOi"•#,W1
1 l .• 1 1 , ,''
I-. and 2-family dwelling ill Commercial/industrial 0 Accessory building
For special information use checklist.
ID Multi-family p Master budder lif Other; Description [ Ea. Total
I t ivb" •"ibTelift0; '',''.,1 , . ''■•1 l Itleating/er
1 i , .;•'14. - i!'L'i 1. i 4 TOk^ 40 Pq , - --' '' ' '''''''' '" ;'• ' . ' ' I ' '' ' '' ' ' 'I ' '''' Air conditioning or heat pu
Job site address: i 0 a O (t,_.) (--c.)--t ,62,c H , (requires site plan showing placeme
nt) t 14,00
City/State/ZIP: — 7 — f ' S 6`-'4 0 e,-, . Cf - -). 2-..? Furnace 100,000 BTU (due(s/vents) IMII 14 00
( Furnace 100,000+ BTU (ducts/vents) 17 90
Suite/bldg./apt. no., 0 Project name: Gas heat pump 14.00
_
Cross street/directions to job site: Duct work 10 00
1-1ydronic hot water system 14.00
Residential boiler (radiator or
hydronio) 14.00
Unit heaters (Mot-type, not electric),
in-wall, in-duct, suspended, etc. 14.00
Flue/vent for any of above 6.80
Subdivision: Lot no.:
Other. 10.00
Tax map/parcel no.; Other fuel appliances
••,,- , !.0 ii:i, ,, i A 4 .': , ,Tr i T, ; - ,?0 Water heater 10.00
...
: ' ..1." ,'•''.':' '• .-- ' '71. i';1;; '''": I , ;IA 1 .' , - -,,,,+,••• • '. "• '''''''' ' '''' Gas fireplace 10,00 „-
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
• Chimney/liner/flue/vent 10.00
H . ,
„ ,, _ , , „ . • . „ , ,,,, , , . , •,, , • . , •• • tn,,, ,,, ,,,,, L,. ' „ , , , :'iLl '44iO4 :1,,:'!:' r,1, .
,:' ,'„''.'''L'1,',;•' l,,„ , A.,,,, AV -.....- ,.■ ,,, ,. . Other: 10.00
L ai r a_ 0.-(2_ in \ ( - L- V" N,€_ Environmental exhaust and ventilation
Range hood/other kitchen
Address: i 0 C 0 0 L c u i 6- f&A.AL -LA-Le-Q. equipment 10 00
City/State/ZIP: Clothes dryer exhaust 10_00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6 80
, ' . -'''': Y • 7 1 ' ill Ai4eicAlq"..';.:;;I:l'i V' • ! ,. ;'-z7Ji.r'' , , 1 1 ',Oc',4OgrAdi,i AtticfcrawisPac= fans 10.00
10.00
Business name. Fuel piping
- -
Contact name: 55.40 for first four' $1.00 for each additional
- - Furnace, etc. I
Address.
Gas heat_pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail: Range
r ' :i i ` i-••e‘ ,.;'c : 1';' r ' 1 '";1 ';;;;;;Ef:: Barbecue
:1; „,/ , 1•_,: ; ,,,, : 7, ,:i-R,i ::' . ', ;;; '.i; t 1.'::L i ' ' ? Clothes dryer (gas)
Business name; Specialty Heating and Cooling, Tue.
Other:
Address: 7500 SW Tech Center Drive Suite #130 7/4-Q:'N14004,ki',k0FP.OA
City/State/ZIP; Tigard, Or. 97223 Subtotal
Minimum permit fcc (572.50) . 72 -Sc)
Phone: (503) 620-5643 Fax: (503) 681-0793
Plan review (25% of permit fee)
GCB lie.: 66578 - State surcharge (12% of permit fee) ‚ C) ,
TOTAL PERMIT FEE ' \ . Zc)
This permit application expires if a permit is not obtained within ISO
Authorized signature: - 11 . days after it has been accepted as complete.
Print name, Andrea Dripps Date: 2 , C7 * Fee methodology set by Tri-County Building Industry Service Board
I \BuddidedrmloM7aC-PermitApp doe 01/19/07 440-1617T (11/02/COM/WEB)